Sungai Buloh Campus, Universiti Teknologi MARA, Selangor, Malaysia.
International Research Collaborative, Oral Health and Equity, Department of Anatomy, Physiology and Human Biology, The University of Western Australia, Nedlands, WA, Australia.
Int Dent J. 2019 Jun;69(3):223-229. doi: 10.1111/idj.12454. Epub 2018 Nov 22.
The aim of this study was to analyse, in detail, the distribution of primary dental clinics in relation to the Malaysian population and relative population wealth, to test the hypothesis that an uneven distribution of dental services exists in Malaysia.
This 2016 study located every dental practice in Malaysia (private and public) and mapped these practices against population, using Geographic Information Systems (GIS) tools. Population clusters within 5, 10 and 20 km of a dental clinic were identified, and clinic-to-population ratios were ascertained. Population data were obtained from the Population and Housing Census of Malaysia 2010. Population relative wealth was obtained from the 2014 Report on Household Income and Basic Amenities Survey for Malaysia. The physical address for each dental practice in Malaysia was gathered from the Official Portal of Ministry of Health Malaysia. All data for analysis were extracted from the integrated database in Quantum GIS (QGIS) into Microsoft Excel.
The population of Malaysia (24.9 million) was distributed across 127 districts, with 119 (94%) having at least one dental clinic. Sixty-four districts had fewer than 10 dental clinics, and 11.3% of Malaysians did not reside in the catchment of 20 km from any dental clinic. The total dental clinic-to-population ratio was 1:9,000: for public dental clinics it was 1:38,000 and for private clinics it was 1:13,000.
Dental services were distributed relative to high population density, were unevenly distributed across Malaysia and the majority of people with the highest inaccessibility to a dental service resided in Malaysian Borneo.
本研究旨在详细分析马来西亚初级牙科诊所的分布情况与马来西亚人口和相对人口财富的关系，以检验牙科服务分布不均的假设。
这项 2016 年的研究定位了马来西亚（私人和公共）的每一个牙科诊所，并使用地理信息系统（GIS）工具将这些诊所与人口进行了映射。确定了距离牙科诊所 5、10 和 20 公里范围内的人口集群，并确定了诊所与人口的比例。人口数据来自 2010 年马来西亚人口和住房普查。人口相对财富来自 2014 年马来西亚家庭收入和基本设施调查报告。马来西亚每个牙科诊所的实际地址均从马来西亚卫生部官方门户收集。所有分析数据均从 Quantum GIS（QGIS）的集成数据库中提取到 Microsoft Excel 中。
马来西亚（2490 万）人口分布在 127 个区，其中 119 个（94%）至少有一个牙科诊所。64 个区的牙科诊所少于 10 个，11.3%的马来西亚人居住在距离任何牙科诊所 20 公里的范围内。总的牙科诊所与人口的比例为 1:9000：公立牙科诊所为 1:38000，私立诊所为 1:13000。
牙科服务的分布与人口密度有关，在马来西亚分布不均，大多数最难以获得牙科服务的人居住在马来西亚婆罗洲。
